Infra-Auricular Flap for Single Stage Ear Lobe Reconstruction | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Article 15, Volume 43, Issue 3, October 2020, Pages 441-444 PDF (30.22 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2020.68186 | ||
| Author | ||
| Khaled M Hassan* | ||
| The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Minia University, Egypt | ||
| Abstract | ||
| Background: Ear lobe deformity may be congenital or more often acquired due to trauma, burns or surgery. Losing them represents an obvious aesthetic abnormality. Its surgical repair places a challenge due to the difficulty of obtaining a natural appearing and durable outcome. Several methods developed to reconstruct this deformity have presented various advantages and disadvantages. We present the results of a relatively simple technique to reconstruct ear lobe in a single stage. Patients and Methods: In this study, we used proximally based infra auricular flap to reconstruct 5 ear lobes in the period from February 2015 to July 2016 in Plastic Surgery Department, Minia University Hospital and private sector. Surgical procedure was performed under local anaesthesia in all cases. Except one case, we followed cases for 6 months post-operatively. Results: Mean operative time was 40 minutes. Mean age was 32 years. All flaps survived. One patient required secondary sutures for partial ear wound dehiscence due to early removal of stitches. Conclusion: The author outlines a simple method for reconstructing the entire lobe in one stage, without grafts, whilst offering a pleasant appearance with minimal donor site morbidity. The technique is suggested to reconstruct all cases of ear lobe defects. | ||
| Keywords | ||
| Infra-auricular – Ear lobe – Reconstruction | ||
| References | ||
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1- Gavello P. and Les autoplasties: Paris: G. Steinheil., [Cite' par Nelaton C, Ombredanne L], 1907. 2- Brent B.: Earlobe construction with an auriculo-mastoid flap. Plast. Reconstr. Surg., 57: 389-91, 1976. 3- Seidman M.D. and Novelly N.J.: Creation of a lobule: A simple technique. Otolamgol., FINS 105: 734-7, 1991. 4- Converse J.M.: Reconstruction of the auricle: 1. Plast. Reconstr. Surg. Transpl. Bull., 22: 150-63, 1958. 5- Preaux J.: A simple procedure for reconstruction of the lower part of the auricle [in French]. Ann. Chir. Plast., 16: 60-2, 1971. 6- Davis J.: Symposium on reconstruction of the auricle. St. Louis: CV Mosby Company, l-312, 1974 | ||
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